Cindy Lou Harrison, RN, CCM
Individual provider Active NPI Registered Nurse · Corryton, TN
NPI 1376200089 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1376200089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 153384 (TN)
- Practice address
- 5903 Whisper Ridge LN
Corryton, TN 37721-4140 - Phone
- (865) 851-4787
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153384 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 153384 | TN | Yes |
Addresses
Primary practice location
5903 Whisper Ridge LN
Corryton, TN 37721-4140
Mailing address
5903 Whisper Ridge LN
Corryton, TN 37721-4140
Phone (865) 851-4787
Other providers in Corryton, TN
- Gibbs Family Practice, LLC
- Kendall Gigliotti
- Benjamin Craig Hamilton
- Maryjane Haney
- Amy Sexton Harrell
- Leslie Marie Heiser
- Taylor W Johnson
- Josh Lafleur
- Troy Edward Long
- Benjamin Thomas Loomis
All providers in Corryton, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.